Active NPI
Laura Renee Harbaugh, LD
- Denturist
- Gig Harbor, WA
National Provider Identifier
1487124905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 60867088
- Practice address
- 5800 Soundview Dr Ste A102
Gig Harbor, WA 98335-2057 - Phone
- (208) 403-9694
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | 60867088 | WA | Primary |
Addresses
Primary practice location
5800 Soundview Dr Ste A102
Gig Harbor, WA 98335-2057
Mailing address
8623 187TH Avenue CT NW
Vaughn, WA 98394-9723
Phone (253) 432-9606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60867088 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundview Denture Clinic P.S. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Gig Harbor, WA
- NPI 1114803301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1487124905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8623 187TH AVENUE CT NW",
"city": "VAUGHN",
"state": "WA",
"postal_code": "983949723",
"telephone_number": "253-432-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 SOUNDVIEW DR STE A102",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983352057",
"telephone_number": "208-403-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBAUGH",
"first_name": "LAURA",
"middle_name": "RENEE",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "60867088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
- Ellen M Hanisch, NURSE PRACTITIONER
- Hanson and Purdue Physical Therapy Inc PS (Grant Spangle Physical Therapy)
- Elyssa Jayne Hanson, PHARMD
- Meghan Leigh Hanson, P.T.A.
- Sarie Yukiko Haraguchi, DMD
- Harbor ABA
- Harbor Audiology & Hearing Services Inc
- Harbor Child and Family Therapy, PLLC
- Harbor Children's Therapy, L.L.C.
- Harbor Dermatology PLLC (Harbor Dermatology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.